Volume 16, Issue 4 (Jul-Aug 2022)                   mljgoums 2022, 16(4): 10-14 | Back to browse issues page

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Patel U, Jagrit N, Panchal S, Kacha A, Ravat R. Utility of Fine Needle Aspiration Cytology in the Evaluation of Palpable Cervical Swelling: A Study of 100 Cases at a Tertiary Care Hospital. mljgoums. 2022; 16 (4) :10-14
URL: http://mlj.goums.ac.ir/article-1-1478-en.html
1- Department of Biochemistry, AMC MET Medical College, Ahmedabad, India
2- Department of Pathology, AMC MET Medical College, Ahmedabad, India , jagritnanda34@gmail.com
3- Department of Pathology, AMC MET Medical College, Ahmedabad, India
Abstract:   (192 Views)
Background and objectives: Lesions of the head and neck region are routinely encountered by clinicians, in patients across all age groups. Diagnoses range from reactive inflammatory conditions to malignancies. Cancer is among the leading causes of death in India. Head and neck cancers account for 23% of all cancer incidents in males and 6% of all incidents in females in India,. Fine needle aspiration cytology (FNAC) of cervical masses is an easy, effective, and relatively inexpensive technique. The aim of this study was to determine occurrence of various head and neck swellings and classify them under various categories.
Methods: The present study included 100 cases of palpable cervical swellings who had been referred to the AMC MET Medical College, Ahmedabad (India) from June 2018 to October 2020.
Results: The majority of cases were lymph node swellings (57%), followed by thyroid swellings (23%), salivary gland swellings (12%), and soft tissue swellings (8%). Among all cervical region swellings, tuberculous lymphadenitis and thyroid lesions were the most prevalent. 
Conclusion: The findings suggest that lymph node swellings are most commonly observed in the cervical area, and that the majority of them are inflammatory, requiring medical treatment rather than surgery. Moreover, FNAC is a straightforward, quick, and cost-effective way to distinguish between non-neoplastic and metastatic malignant lesions, which could help timely surgical interventions.  
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Research Article: Original Paper | Subject: Pathology
Received: 2022/01/28 | Accepted: 2022/05/14 | Published: 2022/07/16 | ePublished: 2022/07/16

1. Chauhan S, Rathod D, Joshi DS. FNAC of swellings of head and neck region. Indian Journal of Applied and Basic Medical Sciences. 2011;13:1-6. [View at Publisher] [Google Scholar]
2. Rao YN, Gupta S, Agarwal SP. National Cancer Control Programme: Current Status & Strategies. In Agarwal SP, ed. Fifty Years of Cancer Control In India. Dir Gen of Health Services, MOHFW, Government of India, 2002;41-7. [Google Scholar]
3. Ahluwalia H, Gupta SC, Singh M, Gupta SC, Mishra V, Singh PA, Walia DK. Spectrum of head and neck cancers at Allahabad. J Otolaryngol Head Neck Surg. 2001;53:16-20. [View at Publisher] [DOI:10.1007/BF02910972] [PubMed] [Google Scholar]
4. Mehrotra R, Singh M, Gupta RK, Singh M, Kapoor AK. Trends of prevalence and pathologicalspectrum of headn and neck cancers in North India. Indian J Cancer. 2005;42:89-93. [View at Publisher] [DOI:10.4103/0019-509X.16698] [PubMed] [Google Scholar]
5. Beahrs OH,Barber Jr KW. The value of radical dissection of structure of the neck in the management of carcinoma of the lip, mouth and larynx. Archive surgery. 1962;85:49-56. [View at Publisher] [DOI:10.1001/archsurg.1962.01310010053007] [PubMed] [Google Scholar]
6. Ministry of Health and Family Welfare, Government of India.Manuals for Training in Cancer ControlNational cancer control. National Cancer Control Programme, India. 2005. [View at Publisher]
7. Svante R Orell, Gregory F. Sterrett. Orell and Sterrett's Fine Needle Aspiration Cytology. 5th ed. [View at Publisher] [Google Scholar]
8. Adhikari RC, Shrestha HK, Sharma SK. Fine needle aspiration cytology of neck masses in a hospital. J Nepal Health Res Counc. 2014;12(27):104-8. [View at Publisher] [DOI] [PubMed] [Google Scholar]
9. Rahman MA, Mamun Ali Biswas M, Sikder AM. Scenario of fine needle aspiration cytology of neck masses in a tertiary care hospital. Journal of Enam Medical College. 2012; 8-14. [DOI:10.3329/jemc.v1i1.11131] [Google Scholar]
10. Shekhar H, Kaur A, Agrawal P, Pancharia A, Jadeja P. Fine needle aspiration cytology in head and neck swellings: a diagnostic and therapeutic procedure. International Journals of Research in Medical Science. 2014; 2(4): 1667-1671. [View at Publisher] [Google Scholar]
11. Patel DN, Patel PB, Patel HV, Gandhi TJ. Fine needle aspiration cytology role in head and neck lesions. IAIM, 2015; 2(8): 99-104 [View at Publisher] [Google Scholar]
12. Jindal U, Singh K, Baghla A, Kochhar A. Spectrum Of Head And Neck Swellings In The Rural Population Of India Based On Fine Needle Aspiration Findings. The Internet Journal of Head and Neck Surgery. 2012; 5(2): [View at Publisher] [DOI:10.5580/2c45]
13. Wahid F i, Rehman H ur, Khan Q, Shahabi IK. DIAGNOSTIC VALUE OF FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSIS OF NON-THYROIDAL NECK MASSES. J Postgrad Med Inst. 2011; 24(4): [View at Publisher]
14. FERNANDES H, D’SOUZA CRS, THEJASWINI BN. Role of Fine Needle Aspiration Cytology in Palpable Head and Neck Masses, Journal of Clinical and Diagnostic Research. 2009; 3(5): 1719-1725. [View at Publisher] [DOI]
15. Jasani JH, Vaishnani HV, Vekaria PN, Patel D, Shah YD, Patel D, et al. Retrospective study of fine needle aspiration cytology of head and neck lesion in tertiary care hospital. International Journal of Biomedical and Advance Research. 2013; 4(4): 253–257. [View at Publisher] [DOI:10.7439/ijbar.v4i4.337]
16. Khetrapal S, Jetley S, Jairajpuri Z, Rana S, Kohli S. FNAC OF HEAD & NECK LESIONS AND ITS UTILITY IN CLINICAL DIAGNOSIS: A STUDY OF 290 CASES. National Journal of Medical Research. (2015); 5(01): 33–38. [View at Publisher] [Google Scholar]
17. Khokle P, Garud S, Lahane VJ, Mishra S, Prakash NP. Role of Fine Needle Aspiration Cytology in Evaluation of Neck Masses: Our Experience. Int J Otorhinolaryngol Clin. 2018; 10 (3):99-105. [View at Publisher] [Google Scholar]
18. Gayathri MN, Sakshi Chaurasia, Bharathi M, Shashidhar HB. Pattern of lymphadenopathy in fine needle aspiration cytology: a retrospective study.IJRMS. 2015; 3(6): 1416-1419. [View at Publisher] [DOI]
19. Chouhan S, Singh Yadav B, Kumar Jain S, Toppo NA. Spectrum of cytomorphological diagnosis of palpable head and neck lesions - in Central India. International Journal of Medical Science and Diagnosis Research (IJMSDR).2018; 2(4): 160-165.
20. Kishor SH, Damle RP, Dravid NV et al. Spectrum of FNAC in palpable head and neck lesions in a tertiary care hospital in India-a 3 years study. Indian J of pathology and oncology. 2015;2(1):7-13. [View at Publisher] [Google Scholar]
21. Goswami RR, Baruah D, Devi G. FNAC spectrum of head and neck lesions - a retrospective study. J Evid Based Med. Healthc. 2016; 3(13), 400-405. [View at Publisher] [DOI:10.18410/jebmh/2016/94]
22. Mondal S, Sinha S, Basak B, Nag Roy D, Sinha S. The Bethesda Syatem for Reporting thyroid hine needle aspirates: A cytologic study with histologic follow-up. J Cytol. 2013; 30(2): 94-99 [View at Publisher] [DOI:10.4103/0970-9371.112650] [PubMed] [Google Scholar]
23. Kumar A, Choudhary S, Hatwal D, Batra N, Barpanda S. Role of FNAC in the diagnosis of Head and Neck Lesion: A study from Garhwal region, Uttarakhand. Indian J Pathol Oncol. 2017; 4(2): 183-187 [View at Publisher] [Google Scholar]
24. Stewart CJ, MacKenzie K, McGarry GW, Mowat A. Fine-needle aspiration cytology of salivary gland: a review of 341 cases. Diagn Cytopathol. 2000; 22(3):139-46. [View at Publisher] [DOI:10.1002/(SICI)1097-0339(20000301)22:33.0.CO;2-A] [PubMed] [Google Scholar]
25. Agrawal N,Sharma HS, Hansrajani V, Samadhiya M et al; Study of Cervical Neck Masses and Role of Fine Needle Aspiration Cytology in Central India, Annals of International Medical and Dental Research, Vol (3), Issue (3) Page 19 [View at Publisher] [DOI:10.21276/aimdr.2017.3.3.EN6] [Google Scholar]
26. Tilak V, Dhaded AV, Jain R. Fine needle aspiration cytology of head and neck masses. Indian J pathol Microbiol. 2002;45(1) : 23-29. [View at Publisher] [Google Scholar]

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